"I wanted to come to a place where residents were thriving, and with a residency program structure that supported residents’ personal wellness in addition to clinical education, and encouraging their career goals. I also have a broad range of interests right now (including psychotherapy, global mental health, and child psych), and wanted to go somewhere where I could get well-rounded training, and explore these interests in-depth. ”
Undergraduate: Harvard College
Medical School: Vanderbilt School of Medicine
|Afternoon:||Zumba, and then chill time!|
|Evening:||Evening Church Service.|
|Morning:||Community Psychiatric Clinic|
|Afternoon:||UW Neurology Clinic|
|Evening:||Zumba, and remember to eat!|
|Afternoon:||Lead DBT group, and DBT consultation group|
|Evening:||Zumba, Dinner, then reading.|
|Morning:||UW Long term Continuity Clinic|
|Afternoon:||UW Long term Continuity Clinic|
|Evening:||Zumba, Chill time|
|Morning:||Didactics followed by T-group and business meeting|
|Afternoon:||Supervision followed by free time – shopping, errands, whatever my heart desires!|
|Evening:||Zumba, Dinner, then reading.|
|Morning:||VA PTSD Clinic|
|Afternoon:||VA Forensics Elective|
|Morning:||Sleep in and/or Errands|
|Evening:||Catch up with friends and family near and far|
Community Psychiatric Clinic (a community mental health agency)
DBT skills group and consultation team
UW Neurology Clinic
VA PTSD Clinic
Long Term Continuity Clinic
VA Forensics Rotation
"Currently I’m interested in outpatient vs. emergency psychiatry. I also have an interest in global mental health, and child psych but we’ll see how it all works out!"
One day or night shift a month
"The University of Washington (UW) met all of the criteria I wanted most in a residency program. Entering residency, my interests were broad so I wanted to have exposure to a wide-range of subspecialties in a variety of clinical settings. UW met this requirement; it is a big academic program serving a diverse patient population through varied clinical sites, including an urban county hospital, a VA, an academic hospital, a children’s hospital and many rural hospitals. Despite its large size, the residency has a small program vibe with friendly residents, flexibility in structure and a supportive and accessible faculty. This has been helpful in allowing me to explore my growing list of interests! Coming from Ann Arbor, I also really wanted to experience living in a city. My transition to Seattle has been smooth given its manageable size and neighborhood feel. Seattle offers the perfect balance between urban living and access to nature through nearby weekend adventures in the surrounding mountains and islands!”
BS, Cell and Molecular Biology, University of Michigan
MD, University of Michigan
|Morning:||Sleep in, go for a run outside|
|Afternoon:||Go to Ballard Farmer's market and spend the day enjoying shops, food, and breweries|
|Evening:||Head home after a fun-filled day to do some reading for the upcoming week.|
|Morning:||See a mix of patients at my continuity clinic, including medication management and psychotherapy patients|
|Afternoon:||Case-load supervision, CBT supervision, and working with my first dedicated CBT patients!|
|Evening:||Go for a run outside and do errands|
|Morning:||Drive 40 minutes to Echo Glen (with my awesome co-resident Dan Magliozzi) to see youth felons who have been adjudicated to this rehab facility|
|Afternoon:||Continue to see patients and communicate with their families, leave Echo Glen around 3pm to beat traffic coming back into Seattle|
|Evening:||Have friends over and make home-made pizza!|
|Morning:||Go to HMC Geriatric clinic and do new intakes|
|Afternoon:||Show my progress on a Quality Improvement Project to the team. Attend a variety of other meetings with HMC leadership.|
|Evening:||Walk home from HMC and go to the gym, followed by relaxing at home|
|Morning:||Take the LINK to UW for morning didactics and T-group|
|Afternoon:||Business meeting with the rest of the residency, go to my own personal psychotherapy session|
|Evening:||Happy-hour with some co-residents, then home and relaxation|
|Morning:||Leisurely wake up and work on my current research and teaching projects on my patio|
|Afternoon:||Meeting with my supervisor regarding our upcoming workshop for AAP|
|Evening:||Dinner in capitol hill with friends, then out to enjoy the night!|
|Morning:||Sleep in, grab brunch with friends|
|Afternoon:||Lay by my pool and enjoy the nice weather|
|Evening:||Grill outside and relax at home|
Harborview Psychiatry Resident Continuity clinic
Echo Glen Children's Center
Harborview Geriatric Psychiatry clinic Leadership in Medicine
Research and Teaching Elective
"When I started residency I was focused on pursuing a fellowship in child and adolescent psychiatry, but I have really enjoyed learning more about addictions and psychosomatics through my rotations. I plan to further explore these fields through conferences and electives in the upcoming year. I would ultimately like to stay in academic medicine, as I love the collegial environment and multidisciplinary care of a teaching hospital."
Roughly 20, 12-hour weekend or holiday shifts (some of which is home calls) spread over the year
"I was initially drawn to UW as a collegial West Coast program with a diversity of training sites, including a large county hospital. It seemed like a place where I would get excellent training, especially with the variation between the three main clinical sites, but that also valued work-life balance. I really liked the residents I met on my interview day, and—even on a grey December day—I fell in love with Seattle. The excellent fellowship at Seattle Children’s Hospital was also a factor in my decision, since I was strongly considering child psychiatry and wanted the option to stay in one place for all of my training.
Having been here for just over a year, I’ve been so pleased with my experience at UW. I love the people I work with, I feel appropriately challenged, and what I’d been told about collegiality here has certainly been true. Seattle has all the resources of an urban environment with a variety of neighborhoods, bike-friendly roads (even with the hills) that have let me commute to almost all the hospitals where I work, and stunning nature both within and close outside of the city.”
BA, Humanities, Scripps College
MD, University of Michigan
|Morning:||Sleep in, then run errands with my boyfriend.|
|Afternoon:||Spend a lovely afternoon talking with friends, enjoying delicious summer fruits and vegetables, admiring views of the Space Needle and sound.|
|Evening:||My boyfriend and I walk the ½ mile from our apartment down to Lake Washington for an evening swim, one of our favorite Seattle pastimes.|
|Morning:||Start reading about patients at home while drinking my tea. Bike the 15 minutes in to Harborview, get to my desk at 7:45, and finish pre-rounding. After our morning table rounds, begin seeing patients.|
|Afternoon:||Daily afternoon table rounds with some patient-focused teaching. Finish seeing follow-up patients and one new consult. Leave just after 5.|
|Evening:||Lots of cooking!|
|Morning:||See my follow-ups, plus one new consult on delirium in a patient with a history of possible neuroleptic malignant syndrome. My fellow presents a paper on this topic.|
|Afternoon:||See another new patient and finish up notes. Call in to a monthly conference call for the American Academy of Child and Adolescent Psychiatry. Head home at 6.|
|Evening:||Dinner on the deck, then finish reading a novel for our R2 monthly book club.|
|Morning:||A lighter morning. See one new patient with my attending and medical student. Seeing new consults with the attending present for the entire interview is a great opportunity for feedback.|
|Afternoon:||No new consults by mid-afternoon, so I’m able to leave at 2:30 to go to the VA and get my computer access set up.|
|Evening:||Relax at home.|
|Morning:||R2 didactics at UW, with lectures that are both very relevant to patients I’ve had recently. T-group before lunch, which has become more and more meaningful as our class becomes closer.|
|Afternoon:||Business meeting from 12-1, then take the shuttle back to Harborview. See one new consult and respond to a few questions on follow-up patients. Done by 5:30.|
|Evening:||Do some pilates, then pack for my trip home this weekend.|
|Afternoon:||A busy afternoon, with multiple patients who need to be referred for involuntary hospitalization. Leave at 6:30.|
|Evening:||Fly home to California!|
|All Day:||Spend time with family, go hiking with an old friend, and eat lots of ice cream
Continuity Clinic at UW – Tuesday afternoons doing psychotherapy from September through June
July: Harborview Consult-Liaison
August: Harborview Psychiatric Emergency Services
September: Harborview Inpatient Psychiatry; UW night float (1 week)
October: Harborview Consult-Liaison; VA night float (1 week)
November: Harborview Consult-Liaison
December: Harborview Recovery Outpatient
Clinic; UW night float (1 week)
January: Seattle Children’s Hospital Inpatient Psychiatry
February: UW Consult-Liaison; UW night float (1 week)
March: Harborview Inpatient Psychiatry
April: VA Consult-Liaison
May: Harborview Inpatient Psychiatry (2 weeks); VA Inpatient Psychiatry (2 weeks)
"My introduction to psychiatry was through child and adolescent psychiatry (I had previously wanted to do pediatrics), and this continues to be my goal. In addition to enjoying working with kids and adolescents, I love the hopefulness of this field and the possibilities that come with kids’ and adolescents’ development. The social justice aspect of contributing to such an underserved field is also very important to me. Within child and adolescent psychiatry, I’m most interested in psychotherapy, mindfulness, and medical education. I hope to work either in an academic setting or in some combination of private practice and community psychiatry, possibly in a less urban area of the Northwest."
6 weeks of night float throughout R2 year (5 nights on, 2 nights off)Average of two 12-hour call shifts per month, some of which is home call
"This one is easy; UW provides the unique combination of a high powered academic residency with supportive faculty and a flexible environment set amongst the grandeur of mountains and the ocean. Work- life balance is something that is very important to me. Having the ability to spend an afternoon on the slackline or at the bouldering gym and weekends in the mountains skiing or at the coast chasing the perfect wave provide a chance to recharge the batteries and good stories with which to regale my co-residents. This combination of the beauty of the Pacific Northwest with the excellent faculty here has made my residency experience superlative, thus far. I have found my co-residents and attending physicians to be intelligent, driven and eager to teach. Come join us and see for yourself! I’ll save you a spot in the lift line at Alpental. "
BS Chemistry/Biology, College of William and Mary
MSHS, Physician Assistant, George Washington University
MD, University of Arizona College of Medicine
|Morning:||At the hospital by 6:30am. Read about overnight events and round with the team, call new consults and begin work on notes.
|Afternoon:||Continue work on the floor (paracentesis, central line removal) and work on notes.
|Evening:||Nice weather for the bike ride to the Seattle Bouldering project at 5pm. Then home to cook some dinner, watch a few ski videos on Youtube, then off to bed early to catch up on sleep.|
|Morning:||Rounds with team, place orders, call consults.|
|Afternoon:||Paged for a rapid response on one of my patients, later discuss this patient’s goals of care with family and palliative care in family meeting.|
|Evening:||Finish up work for the day, stop by the rock gym for some stress relief on the way home. Leftovers for dinner and asleep by 10:30.|
|Morning:||Get signout from overnight team and morning rounds.
|Afternoon:||Start accepting patients at noon, head down to the ER for two admits.|
|Evening:||Keep accepting patients until 10pm, two more admits and the team is capped. Remain in the hospital overnight as part of 30 hour call shift. Senior holds the pager for a few hours from 2-5 am, able to sleep for a bit before morning rounds.|
|Morning:||Morning rounds on newly admitted patients and previous patients. With four admits yesterday my census has grown to eight patients. Thankfully, the day float resident helps out with the morning workload and I’m able to leave by 1pm.
|Afternoon:||Head to sleep for a few hours to catch up after the long call.
|Evening:||Up for a few hours to eat and take in a beautiful Seattle sunset from the living room window before heading back to sleep.
|Morning:||Arrive at 6:30am and get sign out before rounding on my patients. One of the new patients I admitted has taken a turn for the worse. The others are doing well and I begin to prep discharges.
|Afternoon:||Discharge two patients and finish up notes and work on the floor before heading home around 5pm.|
|Evening:||I take the slackline to the park. Soon I am helping kids across the line after the parents give the ok. Later in the evening it’s dinner and I wash it down with a Kombucha and call it a successful day.|
|Morning:||Have time on rounds to hear about my patient’s house in Alaska. Make a mental note to watch an episode of Port Protection on Nat Geo, which takes place near his home.
|Afternoon:||Admit until 2pm, down to the ER for a new patient and to the MICU for a transfer.|
|Evening:||Finish up floor work, notes. Sign out around 7:30pm and head home. Throw together a quick dinner and meet some friends at Chuck’s for a drink before crashing around 11.|
|Morning:||Wake up without an alarm pm my day off around 8:30. Call a buddy from anesthesia and make plans to mountain bike at Duthie Hill.
|Afternoon:||At the trailhead by noon (30 minute drive). Do laps until it starts to get dark and our stomachs begin to growl.
|Evening:||Make dinner with a friend and head to bed to be well rested for the upcoming week.|
13 - 4 week blocks:
Harborview Inpatient Psychiatry (3 months)
VA Inpatient Psychiatry (3 months)
Harborview Inpatient Medicine (1 month)
VA Inpatient Medicine (1 month)
VA Inpatient Neurology (1 month)
University of Washington Emergency Medicine (1 month)
Harborview Medicine Consults (1 month)
VA Geriatric Medicine (1 month)
“I am interested in connections between nutritional biochemistry and chronic disease, especially as this relates to mental health. The gut microbiome certainly appears to influence our mood states and as this influence becomes better understood I believe it will provide new insight into potential strategies for treatment of psychiatric disorders. I plan to create an outpatient Functional Medicine Psychiatric practice after residency which will incorporate these approaches with the hope of beginning to address mental health illness at a place closer to its biochemical roots."
Inpatient Medicine: 80 hours per week
Emergency Medicine: 60 hours per week
Neurology: 45 hours per week
Inpatient Psychiatry: 45 hours per week
Medicine Consults: 40 hours per week
Geriatrics: 40 hours per week
Inpatient Psychiatry: 3 weeks of night float at Harborview, plus 4 to 5 weekend call shifts
Inpatient Medicine: 4 random days off during the month
Emergency Medicine: 8 random days off during the month
Neurology: One weekend day off per week
Medicine Consults: All weekends off
Geriatrics: all weekends off
I knew I wanted a residency program that provided a solid education in academic medicine AND clinical experience in a community setting. The UW-Idaho track offers the best of both worlds in this regard; residents spend their first two years in Seattle and finish third and 4th year in Boise, Idaho. Boise is an awesome place to live; I grew up here and am excited to be back. It’s a growing city with great access to outdoor recreation. The program offers a work-life balance and a great educational atmosphere. If I had to choose a residency program all over again, I’d chose this one in a heartbeat.
B.S. in Zoology, Idaho State University
M.D., University of Washington
|All Day:||Day-trip with my husband to Bruneau Sand Dunes State Park, 45 minutes East of Boise. Hike around the dunes, enjoy a picnic lunch.
|Morning:||: Clinic at FMRI- See patients from a wide variety of cultural backgrounds; an in-person interpreter is present with one of my patients.
|Afternoon:||Group therapy elective- attend various groups on pain management, CBT for insomnia, dementia caregiver support group
|Evening:||Dinner with other psychiatry residents, we take turns hosting|
|Morning:||Telepsychiatry at St. Alphonsus- see patients in Moscow, Idaho as a consultant to the primary care provider. Have lunchtime supervision with attending and resident colleagues.
|Evening:||Workout at the YMCA; my membership is paid for by the residency
|Morning:||Set my alarm for 5:30 a.m. with intentions of going for a run in the foothills. Alarm went off, I went back to sleep. Prison- see patients with attending|
|Evening:||Work on a case report, send latest draft to attending co-authors. Read tomorrow’s journal club article.
|Morning:||T-group, followed by didactic lectures
|Afternoon:||Journal club, psychotherapy seminar, followed by psychotherapy supervision
|Evening:||Cook dinner using a new recipe from Cook’s Illustrated magazine (good food, always lots of dirty dishes)|
|Morning:||VA outpatient clinic|
|Afternoon:||VA outpatient clinic
|Evening:||Rock climbing with a colleague at the YMCA|
|Morning:||Bike ride on the Greenbelt
|Afternoon||Grocery shopping, cleaning and other real-life things|
|Evening||Dinner at the Sandbar; a restaurant on the Boise River. Live music and outdoor seating!|
Outpatient Continuity Clinic Sites: VA Medical Center, Boise State University, Family Medicine Residency of Idaho (FMRI)
Addictions Rotation: VA Residential Substance Abuse Treatment Program (4 months)
Forensics Rotation: Idaho State Department of Corrections (4 months)
Outpatient Psychiatry Consults: St. Al’s telepsychiatry, FMRI Psychiatry Assessment Clinic (4 months)
"I plan to do fellowship training in Geriatric Psychiatry and then return to Idaho to practice community psychiatry. Idaho needs more doctors, particularly psychiatrists!"
None required by the program. There are many moonlighting opportunities in the area; I moonlight one weekend per month, sometimes two.